Inā loaʻa iā ʻoe kahi mammogram a haʻi aku kāu kauka iā ʻoe, "He maʻi ʻaʻai umauma Stage 0 kou, i kapa ʻia ʻo DCIS," he mea maʻamau ke manaʻo koke i ka makaʻu a me ka haʻalulu. Hopohopo mākou a pau ke lohe mākou i ka huaʻōlelo "maʻi ʻaʻai." Akā inā maopopo iā ʻoe ke ʻano o DCIS, e ʻike ʻoe ʻaʻole pono kēia makaʻu. E kamaʻilio kākou e pili ana i nā kikoʻī, me ka maʻalahi loa.
I ka ʻōlelo maʻalahi, he aha ka DCIS (Ductal Carcinoma in Situ)?
ʻOiai paha he mea paʻakikī iki kēia inoa, he maʻalahi loa ke ʻano. E wehewehe kākou i kēlā me kēia huaʻōlelo:
- Ductal: Pili kēia i nā ʻauwai waiū i loko o kou mau umauma. ʻO nā ʻauwai nā ʻano liʻiliʻi e like me ka paipu e lawe ana i ka waiū mai nā kelepa hana waiū i loko o ka umauma a i ka nipple i ka wā e hānai ai ʻoe i ka waiū.
- Carcinoma: ʻO kēia ka inoa lapaʻau no ke kanesa. ʻO ia hoʻi ka ulu ʻana o nā cell maʻamau ʻole.
- In Situ: ʻO kēia ka huaʻōlelo koʻikoʻi loa ma ʻaneʻi. ʻO "In Situ" ka ʻōlelo Latina no "ma kahi." ʻO ke ʻano kēia ua hoʻokumu wale ʻia kēia mau hunaola kanesa ma loko o ka ʻauwai waiū. ʻAʻole lākou i haki ma waena o ka paia o ka ʻauwai a laha i nā ʻiʻo umauma a puni.
E noʻonoʻo i kahi paipu wai. Aia kahi papa o ka popo i loko o ka paipu. Akā, ʻaʻole i komo ka popo i loko o ka paia o ka paipu a ʻaʻole i puka i waho. Pēlā ʻo DCIS. Aia nā hunaola kanesa (e like me ka popo) i loko o ka ʻauwai waiū (paipu wai), akā, ʻaʻole lākou i laha i waho.
ʻO ia ke kumu e kapa ai nā kauka iā DCIS he maʻi ʻaʻai umauma "noninvasive" a i ʻole "pre-invasive" . ʻAʻole ia e laha (metastasize) i nā ʻāpana ʻē aʻe o ke kino.
Akā ʻo ka mea nui loa, inā waiho ʻole ʻia ʻo DCIS me ka mālama ʻole ʻia, hiki i kekahi manawa ke ulu aʻe i loko o ka invasive ductal carcinoma, kahi e haki ai i ka paia o ke kahawai waiū a laha i nā ʻiʻo a puni. ʻO ia ke kumu he mea nui loa ka ʻike ʻana a me ka mālama ʻana iā ia i ka wā mua.
Pehea ka maʻamau o kēia kūlana i kapa ʻia ʻo DCIS?
He ʻano maʻamau loa ka DCIS o ke kanesa umauma. ʻO DCIS ka 20% a 25% o nā maʻi kanesa umauma i ʻike hou ʻia. ʻO ia ka mea maʻamau i nā wahine. ʻOi aku ka liʻiliʻi o ka hiki i nā kāne ke loaʻa iā DCIS.
I kēia mau lā iho nei, ua nui aku nā hōʻike e pili ana i nā hihia DCIS. Akā, wahi a nā loea, ʻaʻole no ka mea ua lilo ka DCIS i mea maʻamau, akā, no ka mea, hiki i nā hoʻokolohua e like me nā mammograms ke ʻike i ke kūlana i kahi pae mua loa.
He aha nā hōʻailona o DCIS?
ʻO ka hapa pinepine ma DCISʻAʻohe hōʻailona . ʻO ia hoʻi, ʻaʻole paha ʻoe e ʻike i kekahi ʻokoʻa. ʻO kēia ke koʻikoʻi o nā mammograms. Kōkua lākou i ka ʻike ʻana i kēia mau kūlana ma mua o ka puka ʻana o nā hōʻailona.
Eia nō naʻe, he mea kakaikahi loa, hiki i kekahi poʻe ke ʻike i nā hōʻailona e like me kēia:
- Ke manaʻo nei i kahi puʻupuʻu ma ka umauma
- He ʻulaʻula ʻili
- Ka hoʻokahe ʻana o ka nipple (e like me ke koko)
Nā kumu a me nā kumu pilikia no DCIS
Hana ʻia ka DCIS i ka wā e loli ai nā pūnaewele olakino i loko o nā ʻauwai waiū (nā mutations) a hoʻomaka e ulu ma waho o ke kaohi. Akā, ʻaʻole maopopo i nā loea ke kumu e loli ai kēia mau pūnaewele i kēia ʻano, a i ʻole ke kumu e ulu ai kekahi mau hihia DCIS i nā maʻi ʻaʻai ikaika.
Eia nō naʻe, ua ʻike ʻia kekahi mau kumu e hoʻonui ai i ka likelika, a i ʻole ka pilikia, o ka hoʻomohala ʻana i ka DCIS.
| Kumu Hoʻopilikia | Wehewehena |
|---|---|
| Moʻolelo ʻohana | Loaʻa ka maʻi ʻaʻai umauma i nā hoahānau koko (makuahine, kaikuahine, kaikamahine). |
| Moʻolelo pilikino | Ma hope o ka loaʻa ʻana o ke kanesa o ka umauma ma mua a i ʻole ka ulu ʻana o nā cell maʻamau ʻole (atypical hyperplasia). |
| Makahiki a me ke kāne | He wahine a ʻoi aku ma mua o 30 mau makahiki. |
| Nā hopena hormonal | ʻO ka wā ʻōpio ma mua o 12 mau makahiki, menopause ma hope o 55 mau makahiki. |
| Hāpai keiki | ʻAʻole loa e hāpai, loaʻa kāu keiki mua ma hope o 30 mau makahiki, a i ʻole ʻaʻole hānai waiū i kāu mau keiki. |
| Nā kumu hoʻoilina | Loaʻa nā hoʻololi genetic ( BRCA 1 a me BRCA 2 ) e hoʻonui ai i ka pilikia o ka maʻi ʻaʻai umauma. |
| Nā kumu ʻē aʻe | Loaʻa ka ʻiʻo umauma mānoanoa, ua loaʻa ka radiation therapy i ka ʻāpana umauma. |
ʻO ka mea nui e hoʻomaopopo ma ʻaneʻi, ʻo ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o kēia mau mea pilikia ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ʻo DCIS. No ka laʻana, hiki i ka poʻe ʻaʻohe mōʻaukala ʻohana o ka maʻi ʻaʻai umauma ke loaʻa iā DCIS. ʻO ia hoʻi, ʻoi aku ka kiʻekiʻe o ka likelika.
Pehea e ʻike ʻia ai ka DCIS?
ʻOi aku ma mua o 90% o nā hihia DCIS i ʻike ʻia ma ka mammogram . Hōʻike nā mammograms i nā puʻu o nā waihona calcium liʻiliʻi (microcalcifications) i loko o ka umauma. ʻO kēia nā hōʻailona nui o DCIS.
Inā hōʻike ka mammogram i kekahi mea kānalua, e paipai paha ke kauka i kahi biopsy . ʻO ka biopsy e pili ana i ka lawe ʻana i kahi hāpana liʻiliʻi loa o ka ʻiʻo kānalua a nānā iā ia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa.
Nā Māka a me nā Pae o DCIS
Ke ʻike ʻia ʻo DCIS, hoʻoholo nā kauka i kona ʻano a me ke kahua.
- Pae: ʻO DCIS ka maʻi ʻaʻai umauma Pae 0 mau . He nūhou maikaʻi loa kēia no ka mea ʻo ia hoʻi, ʻaʻole i laha ka maʻi ʻaʻai.
- Papa: Pili kēia i ke ʻano like a ʻokoʻa paha o nā hunaola kanesa mai nā hunaola olakino a me ka wikiwiki o ko lākou ulu ʻana. ʻEkolu mau papa nui.
- Papa Haʻahaʻa: ʻO ka hapa nui o nā hunaola kanesa e like me nā hunaola olakino a ulu mālie lākou.
- Papa Waena: He ʻokoʻa iki nā pūnaewele kanesa mai nā pūnaewele olakino.
- Papa Kiʻekiʻe: He ʻokoʻa loa nā hunaola kanesa mai nā hunaola olakino a he ʻano ulu wikiwiki ko lākou.
He aha nā lāʻau lapaʻau no DCIS?
ʻOiai ʻaʻole he maʻi kanesa koʻikoʻi ʻo DCIS, he mea nui e mālama iā ia i mea e pale ai i ka pilikia o ka lilo ʻana i maʻi kanesa koʻikoʻi ma hope. Na kāu kauka e hoʻoholo i ke koho lapaʻau maikaʻi loa nāu ma muli o nā mea e like me kou makahiki, ke ʻano o DCIS, a me kāu mau makemake pilikino.
ʻElua mau ʻano lapaʻau nui:
| ʻAno Lapaʻau | I ka ʻōlelo maʻalahi... |
|---|---|
| 1. Lumpectomy / ʻokiʻoki mālama umauma + Radiation Therapy | ʻO kēia ke ʻoki ʻana i ka ʻāpana o nā ʻiʻo me DCIS, me kahi liʻiliʻi o nā ʻiʻo olakino a puni. ʻO kēia ke waiho nei i ka hapa nui o kou umauma. Ma hope o ke ʻoki ʻana, hāʻawi pinepine ʻia ka radiation therapy e pepehi i nā hunaola kanesa i koe. |
| 2. Mastectomy | Ma kēia, wehe ʻia ka umauma holoʻokoʻa i hoʻopilikia ʻia e DCIS ma ke ʻoki ʻana. Manaʻo ʻia kēia kaʻina hana inā ua pālahalaha ka DCIS i kahi ʻāpana nui o ka umauma a i ʻole i kekahi mau ala waiū, a inā ʻaʻole hiki ke koho ʻia ka lumpectomy. ʻAʻole pono ka lāʻau lapaʻau radiation ma hope o ka mastectomy. |
Inā loaʻa iā ʻoe kahi mastectomy, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ke ʻoki hana hou ʻana o ka umauma.
Lapaʻau ma hope o ke ʻoki kino
Ma hope o ke ʻoki ʻana, hiki i kāu kauka ke ʻōlelo aku i ka lāʻau lapaʻau hormone e pale aku i ka hoʻi hou ʻana mai o ka DCIS. Pili kēia i ka hoʻohana ʻana i nā lāʻau lapaʻau e like me Tamoxifen a i ʻole Aromatase Inhibitors . ʻO ka maʻamau, ʻelima mau makahiki ka lōʻihi o kēia lāʻau lapaʻau.
Hiki ke ho'ōla loa ʻia ʻo DCIS?
ʻAe, ʻoiaʻiʻo nō! He maʻi hiki ke mālama ʻia a hoʻōla piha ʻia ka DCIS. Kiʻekiʻe loa ka nui o ka hoʻōla ʻana no ka poʻe i loaʻa ka lāʻau lapaʻau, kokoke i ka 100%.
He haʻahaʻa loa ka pilikia o ka hoʻi hou ʻana mai o DCIS ma hope o ka mālama ʻana. ʻOiai inā hoʻi mai ia, ʻaʻole ia he mea hoʻoweliweli i ke ola.
He aha kāu e hana ai?
ʻOiai ʻaʻohe ala kikoʻī e pale aku ai i ka DCIS, hiki i ka ʻike mua ʻana ke alakaʻi i kahi ho'ōla piha.
- E kiʻi i nā mammograms maʻamau: Manaʻo nui ʻia e hana i kahi mammogram i hoʻokahi manawa i ka makahiki ma hope o 40 mau makahiki. Eia nō naʻe, e kamaʻilio me kāu kauka e pili ana i ka pinepine o kāu hana ʻana i kēia, ma muli o kāu mau kumu pilikia.
- E hahai i nā ʻōlelo a kāu kauka: Ma hope o ka lāʻau lapaʻau, e hele i nā nānā kino e like me ke kuhikuhi a kāu kauka. ʻO ka maʻamau, pono nā nānā kino i kēlā me kēia 6-12 mau mahina no nā makahiki ʻelima mua a ma hope o kēlā me kēia makahiki.
- E nīnau i kāu kauka: Ke ʻike ʻoe he DCIS kou, e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. E nīnau i nā nīnau e like me, "He aha ka lāʻau lapaʻau maikaʻi loa noʻu?", "Pehea ka lōʻihi o ka lāʻau lapaʻau?", "E hiki anei iaʻu ke hoʻomau i ka hana i kēia manawa?"
He mea maʻamau ka makaʻu a me ka hopohopo ke ʻike ʻoe he maʻi kanesa kou. Akā e hoʻomanaʻo he ʻano maʻi kanesa umauma mua ʻo DCIS, ʻaʻole ia he maʻi ʻino, a hiki ke ho'ōla ʻia. Me ka mālama pono ʻana a me ka hahai ʻana, hiki iā ʻoe ke ola i kahi ola olakino piha.
Leka Lawe-Home
- ʻO DCIS ke kahua mua loa (Stage 0) o ka maʻi ʻaʻai umauma. Maanei, aia nā hunaola kanesa i loko o nā ʻauwai waiū wale nō a ʻaʻole i laha i nā ʻiʻo a puni.
- He maʻi kanesa ʻaʻole invasive kēia, no laila ʻaʻole ia e laha i nā ʻāpana ʻē aʻe o ke kino.
- ʻAʻohe hōʻailona o ka DCIS. ʻIke pinepine ʻia ma o ka mammogram.
- Hiki ke ho'ōla loa ʻia ʻo DCIS me ka lāʻau lapaʻau, no laila ʻaʻohe pono e makaʻu.
- Inā ʻaʻole mālama ʻia, aia ka pilikia o ka lilo ʻana i maʻi ʻaʻai koʻikoʻi, no laila he mea nui loa ka ʻimi ʻana i ka lāʻau lapaʻau e like me ka ʻōlelo aʻoaʻo a ke kauka .
- ʻO nā hoʻokolohua lapaʻau maʻamau a me nā mammograms ke ala maikaʻi loa e ʻike mua ai i ka maʻi.
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